Mr Walter R Holloway, MD in West Plains, MO

Mr Walter R Holloway, MD is a medicare enrolled "Urology" physician in West Plains, Missouri. His current practice location is 181 N Kentucky St Ste 200, West Plains, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 255-8337.

Mr Walter R Holloway is licensed to practice in Missouri (license number 110894) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336247899.

Contact Information

	Mr Walter R Holloway, MD
	181 N Kentucky St Ste 200, West Plains, MO 65775-2089
	(417) 255-8337
	(417) 255-2720

Map and Direction

Physician's Profile

Full Name	Mr Walter R Holloway
Gender	Male
Speciality	Urology
Location	181 N Kentucky St Ste 200, West Plains, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336247899
Provider Enumeration Date: 09/20/2006
Last Update Date: 09/20/2011

Medicare PECOS Information:

PECOS PAC ID: 8628079571
Enrollment ID: I20100826000663

Medical Identifiers

Medical identifiers for Mr Walter R Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336247899	NPI	-	NPPES
100049	Other	MO	BC/BS
130543001	Medicaid	AR
506131408	Medicaid	MO
208541805	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	110894 (Missouri)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Walter R Holloway allows following entities to bill medicare on his behalf.

Entity Name	Ozarks Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831115641 PECOS PAC ID: 3870491863 Enrollment ID: O20040209001035

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Walter R Holloway is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Walter R Holloway, MD 181 N Kentucky St Ste 200, West Plains, MO 65775-2089 Ph: (417) 255-8337	Mr Walter R Holloway, MD 181 N Kentucky St Ste 200, West Plains, MO 65775-2089 Ph: (417) 255-8337

Mr Walter R Holloway, MD - Medicare Urology in West Plains, MO